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Adult Mental Health Program Data

The NYC Health Department procures and monitors approximately 500 contracted programs that provide supportive housing, crisis intervention, mental health treatment, care coordination, and psychiatric rehabilitation services. Additionally, the Health Department directly operates the City's court-mandated Assisted Outpatient Treatment (AOT) program and the NYC Supportive Transition and Recovery Team (NYC START) for young adults experiencing a first episode of psychosis.

The Health Department evaluates its contracted and directly operated programs to understand their impact and promote quality improvement to identify gaps in care, and inform decision making, advocacy, and policy. The following program profiles are a summary of the impact of each program by fiscal year.

Assertive Community Treatment

Assertive community treatment (ACT) serves adults with serious mental illness who have high service needs that are not being met in mental health clinic settings and engages them in mental health treatment. The program's teams bring services to these adults wherever they are to help with psychiatric symptom management, employment, securing and maintaining housing, substance use reduction or abstinence, improving relationships, and day-to-day skills.

Assisted Outpatient Treatment

Assisted outpatient treatment (AOT) promotes engagement in mental health services for individuals with a history of multiple hospitalizations or harm to self or others due to non-adherence to treatment. This program monitors the adherence of both the individual and their provider or providers to a civil court ordered care coordination/treatment plan.

Clubhouse

Clubhouses are an evidence-based model that offer free support to people with serious mental illness and provide linkage to programs that promote self-sufficiency and community integration (such as education and employment services), health and legal services, and food access.

Crisis Residence Centers

Crisis residence centers, also known as crisis respite, are an alternative to psychiatric hospitalization for adults experiencing a mental health crisis who are not at imminent risk to the safety of themselves or others. Guests can stay from one to 28 days based on need.

Intensive Mobile Treatment

Intensive mobile treatment (IMT) serves adults who have high service needs that are not being met in mental health clinic or ACT settings, and who are experiencing housing instability, and have frequent interaction with mental health, criminal legal systems, or both. Intensive mobile treatment teams are flexible and may also continue to provide services to people during hospitalization, incarceration, and residential substance use related rehabilitation programs.

Mobile Crisis Teams

Mobile crisis teams (MCT) provide in-person crisis de-escalation, engagement, assessment, and referrals to appropriate services as needed. Teams include mental health professionals and peers. They respond citywide in two to three hours, seven days a week, between 8 a.m. and 8 p.m.

NYC Supportive Transition and Recovery Teams

The NYC Supportive Transition and Recovery Team (NYC START) provides time-limited case management for people between ages 16 and 30 experiencing a first episode of psychosis. This program connects clients to specialized recovery-oriented services and supports their transition back to the community following a first hospitalization.

Single Point of Access

Single Point of Access (SPOA) helps providers connect adults with serious mental illness to community-based mental health treatment, care coordination, peer support, and recovery services.

Support and Connection Center

The Support and Connection Center (SCC) is designed to offer short-term stabilizing services for people with mental health and substance use needs. It operates 24/7, and individuals can stay up to five days. It takes referrals from the police or Behavioral Health Assistance Response Division (B-HEARD) providers.

Supportive Housing

Supportive housing provides affordable and independent rental housing that meets the needs of tenants, including those living with serious mental illness and substance use disorders. This is accomplished through case management, connection to health and mental health services, harm reduction services, group activities, and help with employment, benefits, and entitlements.

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